Damage Assessment Request

Request For Assessment Review

To request a damage assessment review of the property, please complete this form and supply any supporting photos. All required documentation must be submitted by December 31 of the current tax year to be considered for review.

Which event caused the damage or closure? *

Applicant's Name *

Property Location

Home or Cell Number *

Email *

Parcel or Account Number (if known)

Property Type

Buildings Affected

Primary Out Buildings

Please Type Your Name for Signature *

Owner Tenant Other

NOTICE: Be sure to enter your phone number or email where you can best be reached.